Akces-Med Ursus Active User manual

URSUS ACTIVE™
USER MANUAL
ACTIVE WHEELCHAIR

R
5 9 0 3 2 4 0 6 3 2 6 1 9
CAUTION! Manufacturer takes responsibility for proper usage
of the device only when the product was purchased from
qualified Akces-Med employee or at specialized medical store!
CAUTION! AKCES-MED Ltd. reserve the right to introduce
technical and trading changes in the content of the instruction
without warning.
Medical product first class according to the Regulation 93/42/EWG of
European Parliament and Council regarding medical products. For this
product the producer issued relevant declaration of conformity.
Akces-Med. Sp. z o.o. Company introduced quality
management system ISO 13485 regarding production, sales
and service. The system is certified by Det Norske Veritas.

URSUS ACTIVE
CONTENTS
1. .............................................................................................................5
2. Indications for use................................................................................................................5
3. General characteristics of wheelchair...............................................................................6
3.1. Standard equipment....................................................................................................6
3.2. Additional equipment..................................................................................................7
4. Size table.................................................................................................................................8
5. Description how to wheelchair.............................................................................................9
6. Description how to use wheelchair...................................................................................10
6.1 Wheels.........................................................................................................................11
6.2 Brakes..........................................................................................................................12
6.3 Push handle...............................................................................................................13
6.4 Footrest.......................................................................................................................13
6.5 Seat..............................................................................................................................16
6.6 Pelvic and chest pelottes............................................................................................17
6.7 Head support..............................................................................................................19
6.8 Backrest.......................................................................................................................19
6.9 Safety rail...................................................................................................................20
6.10 5 points belts.............................................................................................................20
6.11 Wrench cover............................................................................................................21
7. Additional equipment.........................................................................................................22
8. The user of wheelchair........................................................................................................29
8.1 Preparation of the patient..........................................................................................29
8.2 How to use wheelchair...............................................................................................30
9. Safety rules...........................................................................................................................31
10. Maintenance and cleaning..............................................................................................34
The purpose of user
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INTRODUCTION
A special and active wheelchair URSUS ACTIVE™ is a perfect device
designed for daily rehabilitation of children with locomotor dysfunction. The
wheelchair can be also very useful for children after surgical treatment requiring
long-term relief of both lower limbs.
Stable construction and extensive system of supports and belts makes
children feel very confidently and safely in URSUS ACTIVE™. Large rear wheels
are equipped with special strings that allow young patients to drive the
wheelchair independently. Consequently, the young patient is able to move on
their own, take a meal, play, learn, and perform therapy exercises in seating or
half-lying position. Angle adjustment of the backrest, seat, and footrest allows
your child to rest in supine or semi-supine position. The wheelchair has been
equipped with anti-tippers wheels that prevent the patients to tip over
backwards.
Optionally, URSUS ACTIVE™ can also be equipped with push handles for
the caregiver. Tilt-in-space function allows to adjust the tilt angle of the seat, to
do so you only need to release the locking mechanism and then lock it in a
desired position.
If you have any questions or remarks, do not hesitate to contact with us:
Medical consultant: mobile [phone]
Akces-MED Sp. z o.o.: ph. [phone]
e-mail:
Thank you for purchasing our product.is a solid device which makes it possible
for patient to adopt
[e-mail]
CAUTION!
familiarize himself/herself with user manual. Remember
that complying with guidelines is highly important. It assures
safety and extends durability as well as aesthetics of the
device.
Before using the product, user is obliged to
URSUS ACTIVE
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URSUS ACTIVE
for proper usage, preparation, maintenance, cleaning and guarantee conditions
regarding URSUS .
User manual should be kept in easily accessible place. It is designed for
people who look after disabled children, and for both doctors as well as
physiotherapists who operate the device.
Remember that complying with guidelines is highly important. It assures safety
and extends durability as well as aesthetics of the device.
The present user manual contains basic information which is essential
ACTIVE™ wheelchair
INDICATIONS FOR US
The device is recommended for people in the following cases:
nCerebral palsy – various types and forms.
nBrain and spinal cord injuries with lower limbs paralysis and weakness,
balance and motor coordination disorders with different etiology.
nDemyelinating disease (e.g. multiple sclerosis - SM).
nMeningocele.
nMuscles diseases with weakness and paralysis (dystrophy, myasthenia
gravis, myositis).
nGenetic disorders.
nDegeneration and neurological diseases.
nOther condition connected with muscles weakness, paralysis and
musculoskeletal disorders.
nAfter head and spinal cord injuries and spine trauma with paralysis and
paresis.
CAUTION! Before using the product, user is obliged to
familiarize himself/herself with user manual.
THE PURPOSE OF USER
5
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1
2
4
6
7
9
3
5
8
10
11
12
1. Adjustable handle
2. Adjustable backrest
3. Adjustable seat
4. Head support equipped with width adjustment
5. 5 points belts
6. Adjustable side pelottes
7. Safety rail
GENERAL CHARACTERISTICS OF WHEELCHAIR
3.1 Standard equipment
URSUS ACTIVE
Regulating knobs situated at the back of
wheelchair
A. Knobs for adjustment of headrests
C. Knobs for adjustment of backrest tilt angle
D. Knobs for adjustment of backrest height
A
C
D
6
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8. Adjustable pelvic pelottes
9.Footplate with 5 points feet stabilizing
belts equipped with heel support
10.Soft upholstery with spine load
reducing and ventilating function
11.Rear wheels (22’’ - 26’’), brakes
12.Rear casters

URSUS ACTIVE
3.2 Additional equipment
7
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LED Lights Soft cover for tray
Pelvic belt Trunk stabilizing belt H Harness
Head-neck support Loins support 6 points safety vest
Trunk belt
Firm headrest made of foam
Thight abduction belts
Chest support
4 points safety
Abduction-adduction thight belts
Abduction block
USA_001 USA_003 USA_101
USA_107 USA_113 USA_114
USA_121 USA_124 USA_125
USA_126 USA_127 USA_128
USA_129 USA_130 USA_131

URSUS ACTIVE
8
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Lady’s bag
Men’s bag
Bag DeLux
Tray Plexiglas
Hi-Low Frame
Outdoor Frame
Stolik
Stylish spoke covers
Oxygen tank holder
Cotton headrest cover
Narrowing pads 6 cm Narrowing pads 10 cm
USA_134 USA_137 USA_403
USA_410 USA_411 USA_414
USA_426 USA_502 USA_426 USA_503
USA_504 USA_507 USA_606
USA_608
Cup holder

URSUS ACTIVE
SIZE TABLE
4
9
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Seat width
Symbol Measurement Unit Size 1 Size 2 Size 3
A[cm] 19-25 22-30 24-34
B[cm] 21-26 27-35 34-42
CBack rest height [cm] 44-55 49-59 55-67
EBack rest width [cm] 23 27 32
FDistance from seat to foot rest [cm] 13-29 16-40 16-43
Foot lenght [cm] 20 20 20
Push handle height [cm] 85 85 85
XBack rest angle adjustment [°] 90-180 90-180 90-180
YSeat angle adjustment [°] 0-25 0-25 0-25
ZFoot rest angle adjustment [°] 90-180 90-180 90-180
Max user’s weight [kg] 35 35 50
Weight and dimensions of the device Size 1 Size 2 Size 3
Width [cm] 62 66 70
Length [cm] 100 100 100
Height [cm] 87 92 87
Weight [kg] 18,5 20 22,5
Note: Dimensional tolerance in the table is +1/-1 cm.
A
B
F
X
Y
Z
C
E
Seat depth

Remember that wheelchair needs to be assembled. Manufacturer cannot
assemble this wheelchair due to transportation issues. We will give you
wheelchair which needs to be mounted. It consists of 2 parts: frame and seat . In
order to use the wheelchair please follow these steps:
STEP 1. Activate brakes (look point 6.2, page 12);
STEP 2. Place seat on wheelchair frame in a way that front seat's mounting bar
is placed in catches situated on wheelchair frame (fig.1). Next, it is necessary to
press firmly seat until front or back mounting bar will make a sound ''click'';
Catches
Back seat mounting bar
Front seat mounting bar
URSUS ACTIVE
5DESRIPTION HOW TO MOUNT WHEELCHAIR
10
fig.1
fig.2
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URSUS ACTIVE
6.1. Wheels
6.1.1. Rear casters
Wheelchair’s frame is equipped with 2
small casters to avoid a significant tilt or
roll-over. This kind of support is adjustable.
You can move it forward or backward.
Unscrew the knob (fig.4), adjust the caster
in needed position (fig.5), tighten the knob
firmly. Please do it the same on the
opposite site.
11
6 DESRIPTION HOW TO USE WHEELCHAIR
CAUTION! If you hear a “click”, it means that seat is
correctly mounted. In order to check if seat is placed in a
correct place, raise it upwards.
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fig.5
fig.3
fig.4
CAUTION! Slide out the casters adjustment maximum
while using seat in horizontal position (bed function)!

URSUS ACTIVE
12
6.2 Brakes
Rear wheels are equipped with independent brakes handles. Pull the red lever
firmly to activate the brake (fig.8, 9).
6.1.2. Rear wheels
There is a possibility to disassembled the rear wheels for easy transport and
storage. To dismantle the rear wheels please push the pin placed on the middle
of the wheel and take it out (fig.6, 7).
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fig.6 fig.7
fig.9
fig.8
CAUTION! Slide out the casters
adjustment maximum while using seat
in horizontal position (bed function)!

URSUS ACTIVE
6.3 Push handle
Push handle is a standard equipment of the
Ursus Active. If you want to install the push
handle please place it into the holes located
on the wheel chair’s frame (pic. 10). Put the
knob into the frame’s hole and tighten it
firmly (fig.11, 12). Please do it the same on
the opposite site.
13
6.4 Footrest
6.4.1. The adjustment of the footrest
should be performed with the aid of
selector lever. Please follow these steps
so as to adjust the footrest:
STEP 1. Turn the lever anti-clockwise
(fig.13);
fig.13
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fig.10
fig.11 fig.12

URSUS ACTIVE
6.4.2. Please follow these steps if it is
necessary to change the tilt angle of
footrest's plate:
STEP 1. Loosen the fastening screws as
well as strip situated under the footrest's
place (fig.15);
STEP 2. Adjust the tilt angle of the footrest at your discretion;
STEP 3. Lower the strip downwards as much as possible (fig.16) and then tighten
firmly two fastening screws (fig.17);
fot.15
STEP 2. Adjust the tilt angle of the
footrest at your discretion and tighten
firmly the lever. Turn the lever clockwise
as long as needed (fig.14).
14
fig.14
fig.17
fot.15
fig.16
fot.15
fig.15
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URSUS ACTIVE
6.4.3. Footrest is equipped with foot stabilizing belts which should be fastened
criss crossed with the aid of Velcro tapes. It is possible to adjust the length of
belts (fig. 21,22).
STEP 4. Fasten the belt by means of
Velcro tape that is situated under the
footrest's plate (fig.18).
6.4.2. It is possible to adjust the height of
the footrest, please use Allen key so as to
adjust it. Loosen two screws situated at
the back of the footrest (fig.19), adjust
the height at your discretion and
remember to tighten firmly the screws
(fig.20).
15
fot.15
fig.18
fot.15
fig.19 fot.15
fig.20
fot.15
fig.21 fot.15
fig.22
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6.5 Seat
URSUS ACTIVE
CAUTION! Once the adjustment of tilt angle is done, it is
necessary to tighten adjustable lever and screws which
regulate the height of footrest.
6.5.1. Follow these steps so as to rearrange seat:
STEP 1. Activate brakes (look point 6.2, page 12);
STEP 2. Adjust the footrest angle in parallel with the seat (look point 6.4.1,
page 13);
STEP 3. Pull the mandrel of catch that is situated under seat (fig.23) and at the
same time pull handle that releases seat (fig.24). Next, push seat forwards
(fig.25) thanks to which seat is released from catches;
16
fot.15
fig.23
fot.15
fig.24
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URSUS ACTIVE
6.5.2. It is possible to adjust the depth of seat: loosen two regulating screws and
four knobs that are placed under seat. Adjust the depth at your discretion and
tighten screws as well as knobs (fig.25).
Two regulating screws
Four knobs
17
fot.15
fig.25
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CAUTION! If you hear a “click”, it means that seat is correctly
mounted. In order to check if seat is placed in a correct place,
raise it upwards.

URSUS ACTIVE
18
CAUTION! Slide out the casters adjustment maximum while
using seat in horizontal position (bed function) (look point
6.1.1. page )
6.6. Pelvic and chest pelottes
6.6.1. Backrest and seat are equipped with
side pelottes which make it possible for
patient to maintain correct posture. In order
to adjust the arrangement of pelvic pelottes it
is necessary to loosen two knobs situated
under seat, adjust pelottes at patient's
discretion and then tighten firmly knobs
(fig.29).
fot.26
fot.15
fig.29
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6.5.4. Tilt in space
Tilt in space adjustment:
fot 1. Loosen lever on the wheelchair’s frame. Seat up needed angle of the seat.
Tighten the lever;
fot 2. Put the nut no 1 max in highest position;
fot 3. Put the nut no 2 max in lowest position.
fig 1 fig 2 fig 3 fig 4
nut no 2
nut no 1

6.7. Head support
6.7.1. Regarding head support, it is possible
to adjust the arrangement of pelottes which
makes it possible for patient to keep head in a
correct position. Loosen knobs situated at
the back of head support, adjust the
arrangement of pelottes according to
patient's needs and tighten knobs (fig.31).
6.8. Backrest
6.8.1. The height of backrest can be adjusted.
So as to do that, loosen 2 screws from upper
part of backrest and 2 knobs from lower part
of backrest (fig.32). Next, adjust the height at
your discretion and tighten screws as well as
knobs.
URSUS ACTIVE
19
fot.15
fig.31
fot.15
fig.32
6.6.2. As far as chest pelottes are concerned,
it is possible to adjust their tilt angle. Chest
pelottes are placed on frame with the aid of
plastic handles. Side pelottes can be
dismantled if necessary. If you wish to
dismantle them, it is necessary to pull
pelottes (fig.30).
fot.15
fig.30
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6.10 5 points belts
Wheelchair is equipped with 5 points belts
which stabilize the patient and protect
him/her from felling. Connect fastenings
situated on vest's belts (fig.36) and insert
them into clip from seat (fig.37) so as to fasten
the belts . In order to undo vest it is necessary
to press red button from clip and then take
out fastenings.
URSUS ACTIVE
6.9. Safety rail
Wheelchair is equipped with safety rail
thanks to which patient do not fell out. It is
possible to dismantle this rail by pressing two
buttons situated on rail's frame and pulling
rail upwards (fig.34).
40
20
fot.15
fig.34
fot.15
fig.35
6.8.2.It is also possible to adjust the tilt angle
of backrest. In order to adjust it, loosen knobs
that regulates backrest's tilt angle (this knob
is situated behind backrest) and turn it
anticlockwise (fig.33). Next, adjust backrest
at your discretion and tighten fastening
element clockwise.
fot.15
fig.33
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CAUTION! Slide out the casters
adjustment maximum while using
seat in horizontal position (bed
function)! (llok point 6.1.1, page 11)